The Pain Clinic Ladder is one way of categorising pain and applying treatment accordingly. To attempt to identify more specifically the type, location and intensity of severe pain, Dr. Ronald Melzack of McGill University in Montreal, Canada, was instrumental in developing, what is now called, The McGill Pain Questionnaire. This document lists over a hundred words that together try to describe the characteristics of every kind of pain. The patient is asked to encircle the words that best represent their particular pain.
Whichever method of pain assessment is used, some of the medication mentioned above is normally prescribed to help alleviate it. Sometimes, the medication may be administered in conjunction with an adjuvant, if the medical professionals and pain doctors deem it appropriate. Common adjuvants include steroids, muscle relaxants, antidepressants, anticonvulsants, as well as exercise, counselling and other therapies.